Tibial Condylar Fractures Research Articles

Bone loss and forms of tibial condylar fracture

Bone loss and fracture type were determined in 358 tibial condylar fractures. Degree of osteoporosis at the knee was defined by analogy to Singh's grades of osteoporosis at the hip and to Jhamaria's classification of osteoporosis at the calcaneum: grade V-normal; grade IV-slight reduction of trabecular bone; grade III-osteoporosis, predominantly of trabecular bone; grade II-osteoporosis of trabecular and cortical bone. Five fracture types were distinguished, with the component of trabecular bone compression increasing from a to e: a-pure split fractures; b-split fractures with displacement of a piece of the articular surface; c-split compression fractures; d-local compression fractures; e-compression of a whole condyle. There was a highly significant rank correlation between the two sets of ordered categories. Fractures in osteoporotics tended to involve the lateral condyle; this is explained by the fact that crush fractures occurred more frequently at the lateral condyle. The influence of bone loss on fracture type was demonstrated to be independent of age. A clear understanding of these associations concerning three variables at a time was reached by the use of log-linear-model analysis for cross-classified qualitative data.

けい骨か部骨折の治療成績の検討

We reported 46 cases of tibial condylar fractures treated in our hospital from 1969 to 1981.The patients were studied according to the classification of fractures by Hohl and Luck: undisplased type, 5 cases; local compression, 11; split compression, 6; total compression, 10; split, 8; and comminuted, 6.The results were excellent in 14 cases, good in 17, fair in 6, and poor in 7 by anatomical grade.The degree of the traumatic depression in the tibial condyle ranged from 0 to 11mm.In cases with depression of more than 6mm, functional grade was poor.

Application of Comptuted Tomography for Tibial Condylar Fractures

Application of Comptuted Tomography for Tibial Condylar Fractures

けい骨か部骨折について

44 cases of tibial condyle fractures treated in this department since 1976 were studied. The fracture patterns were categorized using the classification of Moore.Fracture dislocations were not as common as plateau fracture, occurring in an approximate ratio of 1:5 in our series. Conservative treatment was given in 23 cases, and surgical treament in 21.Meniscus injuries occurred in 13 cases, 2 of which were repaired and the remaining 11 were removed. Ligamentous injuries occurred in 5 cases, all of which were repaired. Residural instability of the fractured knee depended mainly on the degree of the depression at the time of follow-up. After an average follow-up of 22.6 months, the results of overall evaluation in 19 cases based on the criteria of Hohl and Luck were excellent or good in 16 cases.

Increasing incidence of tibia condyle and patella fractures.

The age and sex specific incidence of tibial condyle fractures and patellar fractures were compared between 1950-55 and 1980-83 in the urban population of Malmö. In elderly women there was an increased incidence over these 30 years for both fracture types.

けい骨か部骨折の治療経験

Patient with tibial condylar fractures who have been treated in this Hospital since 1977 have been evaluated placing emphasis on the interrelationship between the degree of anatomical reposition and the functional prognosis.The study included 12 males and 3 females, a total being 15 patients. The age of the patients at the time of sustained trauma ranged between 17 and 72 years, with a mean of 51.7 years. The cause of the trauma was traffic accidents in 12 patients and labor associated accidents in 3. According to the classification of fractures by Hohl & Luck, an undisplaced type was seen in one patient, a central depression type in 2 patients and split depression, total depression and comminuted types in 4 patients respectively. The depth of the traumatic depression in the tibial condyle ranged from 0 to 12mm at the time of injury, with a mean of 7.5mm. It varied from 0-8mm during the follow-up period, with a mean of 2.5mm. Conservative treatment was followed in 2 patients, and surgical treatment in 13. Bone transplantation was used as well in 3 of these patients who had severe involvement and a depth of traumatic depression in the tibial condyle of more than 10mm at the time of injury. The postoperative results were excellent in 7 patients (47%), good in 6 (40%) and moderate in 2 (13%), with a satisfactory outcome. Six patients (40%) were unable to function normally, but an unstable knee joint was not seen in any of the patients.

Tibial Condylar Fractures Evaluation of Treatment and Outcome

One hundred ten tibial condylar fractures incurred during the period from 1972 to 1978 were reviewed retrospectively. Fifty-two knees were reviewed more than one year after initial injury and were subjected to critical evaluation using a point rating system. Overall, the results were acceptable in 84% of patients. The use of a cast of traction generally produced very good results. Case bracing was used in 31% of the series. Open reduction was reserved for 17 severe and challenging fractures; six of the 17 had unsatisfactory functional results.

A Clinical Study of the Tibial Condylar Fractures which had Open Reductions

A Clinical Study of the Tibial Condylar Fractures which had Open Reductions

Treatment methods in tibial condylar fractures.

A series of 915 tibial condylar fractures has been analyzed for the type of treatment used and some of the pitfalls encountered with emphasis on preservation of fracture position. The most commonly used treatment methods are discussed in depth, emphasizing the advantages and disadvantages of each and their indications in the various types of tibial condylar fractures. It is concluded that the treatment must be carefully fitted to the type of fracture and to the patient in order to achieve a strong movable knee with good alignment and stability.

Tibial condylar fractures: Non-operative treatment of lateral compression fractures without impairment of knee-joint stability

Compression fractures of the lateral condyle of the tibia occur chiefly in elderly persons. Compression injury of the central and posterior parts of the condyle often leaves the stability of the extended knee-joint unaffected. Forty patients with central and posterior depression showed normal stability of the extended knee-joint, despite depression of the lateral joint surface between 5 and 20 mm. All were treated without operation and functional recovery was excellent. It is suggested that such fractures should be treated with early active exercises. Weight bearing may be allowed after a few weeks because the risk of secondary displacement is almost nil. Neither operation nor long-term immobilization is indicated in the treatment of these injuries.

Tibial condylar fractures as a cause of degenerative arthritis.

(1972). Tibial Condylar Fractures as a Cause of Degenerative Arthritis. Acta Orthopaedica Scandinavica: Vol. 43, No. 6, pp. 566-575.

Tibial Condylar Fractures

JBJS Journal Case Connector Reviews JBJS.org Surgical Techniques Open Access JOPA JBJS.org JBJS Journal Case Connector Reviews Surgical Techniques Open Access JOPA

Fracture of the lateral tibia plateau.

Dr.F. W.Bora Jr.: A 58-year-old man was crossing the street when the bumper of a car struck the lateral aspect of his right leg just below the knee joint, forcing him to fall on his left side. He was brought immediately to the emergency ward of the Massachusetts General Hospital. Physical examination revealed a painful, moderately swollen right knee. He had full extension passively with flexion to 50°. Except for 10° of valgus which could be produced on valgus strain, no other instability was demonstrable in full extension. No valgus could be produced on similar testing of the left knee. No vascular or neurologic deficit was noted in the right lower extremity. X-ray films were taken which showed a fracture of the right lateral tibial condyle with depression of the joint surface (Fig. 1). The patient's general condition was good. He had had no significant diseases in his

Fractures of the Tibial Condyle

Seven hundred and twenty-six tibial condylar fractures have been analyzed, with follow-up studies from two to thirteen years in 227 cases. Conservative treatment is indicated in undisplaced fractures, local-depression fractures with displacement of less than one centimeter, and split fractures with displacement of less than one-half centimeter. Manipulation under anaesthesia with traction is indicated in total-depression fractures and in split fractures with shattering of the upper tibial See Images in the PDF file surface. Open reduction is indicated in local-depression fractures displaced than one centimeter, total-depression fractures irreducible under anaesthesia, and split fractures with displacement of more than one-half centimeter. It is the opinion of the authors, based upon this clinical and experimental study, that early active motion is most important in obtaining optimum results in fractures of the tibial condyle.

Operative treatment of lateral tibial condyle fractures: a follow-up study of 68 cases.

Operative treatment of lateral tibial condyle fractures: a follow-up study of 68 cases.